河北张家口市王美玲 09-07 09:26

请教老师！男，75，彩超示右输尿管口12*6mm强回声，膀胱镜见右输尿管口、左顶部各一肿物

河北张家口市王美玲 09-07 09:26

1，右输尿管口

河北张家口市王美玲 09-07 09:26

河北张家口市王美玲 09-07 09:26

河北张家口市王美玲 09-07 09:26

河北张家口市王美玲 09-07 09:26

河北张家口市王美玲 09-07 09:26

2，膀胱左顶部

河北张家口市王美玲 09-07 09:27

河北张家口市王美玲 09-07 09:27

河北张家口市王美玲 09-07 09:27

河北张家口市王美玲 09-07 09:27

河北张家口市王美玲 09-07 09:27

河北张家口市王美玲 09-07 09:28

请问老师，够报低级别吗

周亚东 09-07 09:29

不能

河北张家口市王美玲 09-07 09:31

那要怎么出报告呢？细胞层数有增多

周亚东 09-07 09:32

生长模式是扁平的，没有低级别，只有增生，异型增生，原位癌

周亚东 09-07 09:33

炎症比较重，个人倾向增生

河北张家口市王美玲 09-07 09:34

那就报不典型增生吧？

严萍 09-07 09:38

严萍 09-07 09:38

这个报炎症？

孔祥田(Max)*Sacramento*CA] 09-07 12:10

@山东杜静 do ck20 on both parts. If ck20 is full thickness positive, call urothelial dysplasia on flat lesion, low grade urothelial carcinoma on the papillary lesion

孔祥田(Max)*Sacramento*CA] 09-07 12:10

孔祥田(Max)*Sacramento*CA] 09-07 12:11

Cut deeper to look for real papilla

河北张家口市王美玲 09-07 12:29

好的，孔老师！谢谢老师！

章进华 09-07 12:36

@孔祥田(Max)*Sacramento*CA] 低级别乳头型尿路上皮癌ck20表达不高吧？发育不良全层表达吗？

孔祥田(Max)*Sacramento*CA] 09-07 12:48

@章进华 urothelial dysplasia is usually non-umbrella layer ck20 expression to full thickness expression. Same thing for low grade urothelial carcinoma. If we see true papilla in deeper levels on left bladder neck biopsy, we can omit ck20 IHC and make the call based on morphology.